Prise en charge des tumeurs malignes gastriques dans le service de chirurgie «A» du CHU du Point G : à propos de 84 cas.

Objective: To evaluate the short-term results of the treatment of distal malignant gastric tumors. Patients and methods: It was about a 3-year retrospective study from january 2007 to december 2010 in the department of Surgery “A” of the Teaching Hospital of Point “G”. Clinical records of 84 patients with gastric cancers were colligated. Were included in this study patients who underwent surgery for malignant gastric tumors confirmed by histology. Patients who did not undergo surgery and those who presented tumors of the cardia were not included in this study. Results: The treatment consisted of a subtotal gastrostomy with ganglionnary curettage taking out the first and the second relays in 33 patients (39.28%), total gastrostomy in 3 patients (3.57%) , and the remaining patients (48 patients, 57.14%) underwent gastro-entero anastomosis. Morbidity was 10.7%, represented by 7 cases of parietal suppuration and 2 cases of evisceration. Mortality rate was 11.11%, due to poor general condition of the patients. The global 1-year survival rate was 36.9%. The one and two-year survival rates after subtotal gastrostomy were 93.9% and 75.75%, respectively. No survival case was noticed one year after total gastrostomy and gastric enteric anastomosis. Conclusion: Partial gastrectomy with ganglionnary curettage when possible associated with an early diagnosis could allow a sharp improvement of the gastric tumors' survival rate.